Provider Demographics
NPI:1164527859
Name:WOMENS CENTER
Entity Type:Organization
Organization Name:WOMENS CENTER
Other - Org Name:THE WOMEN'S CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:V.P.OF HR & ADMINISTRATION
Authorized Official - Prefix:
Authorized Official - First Name:JIMMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-385-0903
Mailing Address - Street 1:8230 OLD COURTHOUSE RD STE 500
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-3840
Mailing Address - Country:US
Mailing Address - Phone:571-385-0903
Mailing Address - Fax:
Practice Address - Street 1:8230 OLD COURTHOUSE RD STE 500
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22182-3840
Practice Address - Country:US
Practice Address - Phone:703-281-2657
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-14
Last Update Date:2023-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty